CPT 28086

Musculoskeletal

Current code37 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 28086 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$330 – $944Doctor’s fee: $614 – $944	$508 – $1,452Doctor’s fee: $944 – $1,452
Three Rivers HospitalBrewster	Doctor’s fee: $1,021	Doctor’s fee: $1,458	Doctor’s fee: $1,458
Trios HealthKennewick	—	—	$310,200
Virginia Mason Medical CenterSeattle	—	$3,977	$7,799

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $626 in an office; $375 in a hospital or surgery center
Doctor's fee, rest of Washington: $556 in an office; $341 in a hospital or surgery center
Hospital outpatient payment (national): $3,343 (APC 5113)
Surgery center payment (national): $1,645

How hospitals also write this code

Some price files write it differently. These are counted as CPT 28086:

28086P (with a letter after it, P; 2 price lines)
28086T (with a letter after it, T; 1 price line)